Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $839.75 / $1,147.55	Professional		$491.63	$839.75	$1,147.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $1,745.53 / $2,369.94	Professional		$658.00	$1,745.53	$2,369.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.80 / $1,778.35 / $2,208.31	Professional		$1,271.80	$1,778.35	$2,208.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.98 / $1,159.59 / $2,467.23	Facility		$909.98	$1,159.59	$2,467.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $968.82 / $1,549.29 / $1,614.70	Facility		$968.82	$1,549.29	$1,614.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.98 / $1,159.59 / $2,467.23	Facility		$909.98	$1,159.59	$2,467.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,022.42 / $1,825.01 / $2,628.20	Professional		$1,022.42	$1,825.01	$2,628.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,473.61 / $1,881.01 / $2,270.21	Professional		$1,473.61	$1,881.01	$2,270.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.99 / $1,516.89 / $2,144.71	Professional		$1,006.99	$1,516.89	$2,144.71